{"id":41969,"date":"2016-12-04T02:14:13","date_gmt":"2016-12-03T23:14:13","guid":{"rendered":"https:\/\/new.mavikadin.com\/?p=41969"},"modified":"2024-09-16T10:26:44","modified_gmt":"2024-09-16T07:26:44","slug":"gebelikte-tsh-kac-olmali-hamilelikte-troid-yuksekligi-ve-dusuklugu","status":"publish","type":"post","link":"https:\/\/www.tgrthaber.com\/mavikadin\/gebelikte-tsh-kac-olmali-hamilelikte-troid-yuksekligi-ve-dusuklugu\/","title":{"rendered":"Gebelikte Tsh Ka\u00e7 Olmal\u0131? Hamilelikte Troid Y\u00fcksekli\u011fi Ve D\u00fc\u015f\u00fckl\u00fc\u011f\u00fc"},"content":{"rendered":"

V\u00fccut taraf\u0131ndan sal\u0131nan tiroid hormonlar\u0131n\u0131n miktar\u0131n\u0131n d\u00fczenlenmesinden TSH yani Tiroid Hormonu sorumludur. <\/p>\n

V\u00fccut taraf\u0131ndan sal\u0131nan tiroid hormonlar\u0131n\u0131n miktar\u0131n\u0131n d\u00fczenlenmesinden TSH yani Tiroid Hormonu sorumludur. TSH, beynin i\u00e7inde yer alan, hipofiz bezi ad\u0131 verilen bezelye \u015feklinde bir organ taraf\u0131ndan \u00fcretilir. Tiroidlerde herhangi bir problem yahut tiroid bezinde hastal\u0131k varsa, bu durum tiroid hormonunun fazla veya az salg\u0131lanmas\u0131na neden olur. Hipertiroidi, troid bezi hormonunun fazla \u00e7al\u0131\u015fmas\u0131, hipotiroidizm ise az \u00e7al\u0131\u015fmas\u0131d\u0131r. Hipertiroidi, v\u00fccudun metabolizmas\u0131n\u0131 h\u0131zland\u0131r\u0131rken, hipotiroidi ise yava\u015flat\u0131r. Anne karn\u0131ndaki bebe\u011fin sa\u011fl\u0131k durumunu etkiledi\u011finden,hamilelik d\u00f6neminde TSH seviyesini bilmek \u00f6nemlidir.<\/p>\n

Hamilelik d\u00f6neminde iki hormon, \u00f6strojen ve insan koryonik gonadotropin (hCG) kan i\u00e7ine sal\u0131n\u0131r. Bu hormonlar TSH seviyelerinin \u00fcretimini art\u0131rabilir veya azaltabilir. HCG hormonu, tiroid hormonunun i\u015flevine benzer hareket eder, bu \u015fekilde tiroid hormonunun \u00fcretimini uyar\u0131r ve bu durum v\u00fccuda ters etki yap\u0131p troid hormonunun normalin \u00fcst\u00fcnde yahut alt\u0131nda salg\u0131lanmas\u0131na yol a\u00e7abilir. V\u00fccuttaki TSH hormonunun normal seviyeleri 0.5-5 aral\u0131\u011f\u0131ndad\u0131r ve bu aral\u0131\u011f\u0131n alt\u0131na d\u00fc\u015fme veya \u00fcst\u00fcne \u00e7\u0131kma \u00e7e\u015fitli sa\u011fl\u0131k sorunlar\u0131na neden olabilir.<\/p>\n

Hamilelikte normal TSH d\u00fczeyleri<\/u><\/strong><\/span><\/span><\/p>\n

Uzmanlara g\u00f6re, TSH hormon seviyeleri gebeli\u011fin farkl\u0131 evreleri boyunca de\u011fi\u015fir.<\/p>\n

    \n
  1. Birinci Trimester (Hamileli\u011fin 1.2. ve 3. aylar\u0131)  2.5 mIU \/ L’den daha d\u00fc\u015f\u00fck<\/li>\n
  2. \u0130kinci Trimester (Hamileli\u011fin 4.5. ve 6. aylar\u0131) 3 mIU \/ L’den az<\/li>\n
  3. \u00dc\u00e7\u00fcnc\u00fc Trimester (Hamileli\u011fin 7.8. ve 9. aylar\u0131)  3 mIU \/ L’den az<\/li>\n<\/ol>\n

    Hamilelikte Tsh(troid) d\u00fc\u015f\u00fckl\u00fc\u011f\u00fc<\/u><\/strong><\/span><\/span><\/p>\n

    Tiroid bezinin az \u00e7al\u0131\u015fmas\u0131na hipotiroidizm ad\u0131 verilir. Hipotiroidizm, tiroidbezinin az hormon salg\u0131lamas\u0131 nedeniyle olu\u015fan bir hastal\u0131kt\u0131r. Hipotiroidizm, v\u00fccutta antikorlar\u0131n \u00fcretildi\u011fi b\u00f6lgede ba\u011f\u0131\u015f\u0131kl\u0131k sisteminin hatal\u0131 \u00e7al\u0131\u015fmas\u0131ndan kaynaklan\u0131r. Bu antikorlar, tiroid bezinin h\u00fccrelerini olumsuz etkileyip tiroid hormonunun \u00fcretimini engeller. Dahas\u0131, beyaz kan h\u00fccreleri tiroid hormonuna sald\u0131r\u0131p tiroid hormonunun salg\u0131lanmas\u0131n\u0131 da \u00f6nleyebilir. Bu da, v\u00fccudun metabolizma h\u0131z\u0131n\u0131 d\u00fc\u015f\u00fcr\u00fcr. Gebeliklerin yakla\u015f\u0131k% 2 ila 3’\u00fcnde subklinik hipotiroidizm bildirilirken, belirgin hipotiroidi olu\u015fumu % 0.3 ila 0.5’dir.<\/p>\n

    Hamilelikte Tsh d\u00fc\u015f\u00fckl\u00fc\u011f\u00fcn\u00fcn nedenleri<\/u><\/strong><\/span><\/span><\/p>\n

      \n
    1. Hashimoto hastal\u0131\u011f\u0131 gibi ba\u011f\u0131\u015f\u0131kl\u0131k sistemi hastal\u0131klar\u0131<\/li>\n
    2. Radyasyon tedavisi<\/li>\n
    3. Enfeksiyon veya kansere ba\u011fl\u0131 troidlerde \u015fi\u015fme<\/li>\n
    4. Ameliyat<\/li>\n
    5. D\u00fc\u015f\u00fck iyot seviyeleri<\/li>\n
    6. Baz\u0131 ila\u00e7lar\u0131n yan etkisi (\u00f6rn., Amiodaron, lityum)<\/li>\n
    7. Genetik<\/li>\n
    8. H\u00fccrelerdeki veya dokulardaki anormal maddelerin birikimi (infiltratif hastal\u0131klar)<\/li>\n
    9. Hipotalamus ile ilgili bozukluklar<\/li>\n<\/ol>\n

      Hamilelikte Tsh d\u00fc\u015f\u00fckl\u00fc\u011f\u00fcn\u00fcn belirtileri<\/u><\/strong><\/span><\/span><\/p>\n

        \n
      1. Ciltte kuruluk ve pul pul g\u00f6r\u00fcnt\u00fc<\/li>\n
      2. G\u00f6z \u00e7evresinde sararma<\/li>\n
      3. G\u00fc\u00e7s\u00fczl\u00fck<\/li>\n
      4. Halsizlik, yorgunluk<\/li>\n
      5. So\u011fu\u011fa kar\u015f\u0131 hassasiyet<\/li>\n
      6. Kab\u0131zl\u0131k<\/li>\n
      7. Sa\u00e7ta incelme veya sa\u00e7 d\u00f6k\u00fclmesi<\/li>\n
      8. Sinirlilik<\/li>\n
      9. Depresyon<\/li>\n
      10. Uyku bozuklu\u011fu<\/li>\n
      11. Goiter<\/li>\n
      12. Anemi<\/li>\n<\/ol>\n

        Hamilelikte Tsh d\u00fc\u015f\u00fckl\u00fc\u011f\u00fcn\u00fcn te\u015fhisi<\/u><\/strong><\/span><\/span><\/p>\n

        Hamilelikte TSH d\u00fc\u015f\u00fckl\u00fc\u011f\u00fcn\u00fcn tan\u0131s\u0131 zor olabilir, zira semptomlar genellikle gebelik belirtileri ile kar\u0131\u015ft\u0131r\u0131labilir. Kan tahlili ile tiroid hormonu seviyesine bak\u0131l\u0131p d\u00fc\u015f\u00fckl\u00fck var m\u0131 belirlenebilir.<\/p>\n

        Hamilelikte Tsh d\u00fc\u015f\u00fckl\u00fc\u011f\u00fcn\u00fcn tedavisi<\/u><\/strong><\/span><\/span><\/p>\n

        Levotiroksin, dozlar\u0131 TSH seviyeleri normale d\u00f6n\u00fcnceye kadar kademeli olarak art\u0131r\u0131l\u0131r.<\/p>\n

        Doktor kontrol\u00fcnde Prenatal vitaminler al\u0131n\u0131r.<\/p>\n

        Hamilelikte TSH y\u00fcksekli\u011fi<\/u><\/strong><\/span><\/span><\/p>\n

        Hamilelikte TSH y\u00fcksekli\u011fi, s\u0131k kar\u015f\u0131la\u015f\u0131lan bir durumdur. Gebelikte TSH y\u00fcksekli\u011fi genelde Graves hastal\u0131\u011f\u0131ndan muzdarip anne adaylar\u0131nda g\u00f6r\u00fcl\u00fcr. Graves hastal\u0131\u011f\u0131, v\u00fccudun sa\u011fl\u0131kl\u0131 h\u00fccrelere sald\u0131rd\u0131\u011f\u0131 ba\u011f\u0131\u015f\u0131kl\u0131k sistemi hastal\u0131klar\u0131ndand\u0131r. Hamilelikte TSH y\u00fcksekli\u011finde tiroid uyar\u0131c\u0131 imm\u00fcnoglobulin, TSH’yi taklit eder ve \u00e7ok fazla hormon salg\u0131lat\u0131p TSH seviyesinin y\u00fckselmesine yol a\u00e7ar.<\/p>\n

        Hamilelikte TSH y\u00fcksekli\u011fi nedenleri<\/u><\/strong><\/span><\/span><\/p>\n

          \n
        1. Genetik olarak tiroid veya ba\u011f\u0131\u015f\u0131kl\u0131k sistemi hastal\u0131\u011f\u0131<\/li>\n
        2. Troidlerin geni\u015flemesi veya \u015fi\u015fmesi<\/li>\n
        3. Gebelikte ge\u00e7ici tirotoksikozu<\/li>\n
        4. Subakut tiroiditi<\/li>\n
        5. Zehirli multinod\u00fcler guatr<\/li>\n
        6. Tekli toksik adenom<\/li>\n
        7. Baz\u0131 ila\u00e7lar\u0131n yan etkileri (\u00f6zellikle kalp at\u0131\u015f h\u0131z\u0131n\u0131 korumak i\u00e7in kullan\u0131lan ila\u00e7lar)<\/li>\n
        8. Tiroid bezinin \u00e7evresinde meydana gelen enfeksiyonlar<\/li>\n
        9. Y\u00fcksek iyot seviyeleri<\/li>\n
        10. Struma ovarius (yumurtal\u0131k guatr\u0131)<\/li>\n
        11. Tirotropin resept\u00f6r aktivasyonu<\/li>\n<\/ol>\n
          \n
          \n

          Hamilelikte TSH y\u00fcksekli\u011fi belirtileri<\/u><\/strong><\/span><\/span><\/p>\n

            \n
          1. Zay\u0131flama<\/li>\n
          2. \u0130\u015ftahs\u0131zl\u0131k<\/li>\n
          3. \u0130shal<\/li>\n
          4. Kab\u0131zl\u0131k<\/li>\n
          5. Is\u0131ya kar\u015f\u0131 hassasiyet<\/li>\n
          6. A\u015f\u0131r\u0131 terleme<\/li>\n
          7. G\u00f6zlerde \u015fi\u015fme<\/li>\n
          8. Bulan\u0131k g\u00f6rme<\/li>\n
          9. Boyunda a\u011fr\u0131ya neden olan beze<\/li>\n
          10. Sinirlilik<\/li>\n
          11. Yorgunluk<\/li>\n
          12. Ba\u015f a\u011fr\u0131s\u0131<\/li>\n
          13. Uykusuzluk<\/li>\n
          14. Huzursuzluk<\/li>\n
          15. Mide bulant\u0131s\u0131<\/li>\n
          16. Y\u00fcksek tansiyon<\/li>\n
          17. Artan kan bas\u0131nc\u0131<\/li>\n
          18. Kas g\u00fc\u00e7s\u00fczl\u00fc\u011f\u00fc<\/li>\n
          19. Titreme<\/li>\n
          20. Ruh halinde dalgalanmalar<\/li>\n<\/ol>\n

            Hamilelikte Tsh y\u00fcksekli\u011finin te\u015fhisi<\/u><\/strong><\/span><\/span><\/p>\n

            Hamilelikte TSH y\u00fcksekli\u011finin tan\u0131s\u0131 zor olabilir, zira semptomlar genellikle gebelik belirtileri ile kar\u0131\u015ft\u0131r\u0131labilir. Kan tahlili ile tiroid hormonu seviyesine bak\u0131l\u0131p y\u00fckseklik var m\u0131 belirlenebilir.<\/p>\n

            Hamilelikte Tsh y\u00fcksekli\u011finin tedavisi<\/u><\/strong><\/span><\/span><\/p>\n

            Bebe\u011fin sa\u011fl\u0131\u011f\u0131n\u0131 tehlikeye atabilece\u011finden hamilelikte TSH y\u00fcksekli\u011fi tedavi y\u00f6ntemleri s\u0131n\u0131rl\u0131d\u0131r. Ancak tedavide a\u015fa\u011f\u0131daki se\u00e7enekler yayg\u0131n olarak kullan\u0131lmaktad\u0131r.<\/p>\n

              \n
            1. Metimazol, propiltiyo\u00fcrasil (PTU) ve karbimazol gibi antitiroid ila\u00e7lar<\/li>\n
            2. Cerrahi (anti-tiroid ila\u00e7lara kar\u015f\u0131 hassasiyeti olanlar i\u00e7in)<\/li>\n
            3. Radyoaktif iyot (kontrendikedir)<\/li>\n
            4. Metoprolol ve propranolol gibi beta blokerler (annenin kalp at\u0131\u015f h\u0131z\u0131n\u0131 d\u00fc\u015f\u00fcrmek i\u00e7in)<\/li>\n<\/ol>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

              V\u00fccut taraf\u0131ndan sal\u0131nan tiroid hormonlar\u0131n\u0131n miktar\u0131n\u0131n d\u00fczenlenmesinden TSH yani Tiroid Hormonu sorumludur. V\u00fccut taraf\u0131ndan sal\u0131nan tiroid hormonlar\u0131n\u0131n miktar\u0131n\u0131n d\u00fczenlenmesinden TSH yani Tiroid Hormonu sorumludur. TSH, beynin i\u00e7inde yer alan, hipofiz bezi ad\u0131 verilen bezelye \u015feklinde bir organ taraf\u0131ndan \u00fcretilir. Tiroidlerde herhangi bir problem yahut tiroid bezinde hastal\u0131k varsa, bu durum tiroid hormonunun fazla veya az […]<\/p>\n","protected":false},"author":30,"featured_media":41968,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"rank_math_lock_modified_date":false,"footnotes":""},"categories":[111],"tags":[32787,32783,32784,32786,32785],"class_list":["post-41969","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-anne-cocuk","tag-gebelikte-hormonlar","tag-gebelikte-tsh","tag-hamilelikte-tiroid","tag-tsh-dusuklugu","tag-tsh-yuksekligi"],"_links":{"self":[{"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/posts\/41969"}],"collection":[{"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/users\/30"}],"replies":[{"embeddable":true,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/comments?post=41969"}],"version-history":[{"count":1,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/posts\/41969\/revisions"}],"predecessor-version":[{"id":41970,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/posts\/41969\/revisions\/41970"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/media\/41968"}],"wp:attachment":[{"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/media?parent=41969"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/categories?post=41969"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/tags?post=41969"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}